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C7 <br />• <br />• <br />ANNUAL FEE and REPORT REQUEST ,... -~- <br />~~ <br />PERMITTEE NAME: Homestake Mining Company A~R 2 a ~~~~ <br />PERMIT NO.: M-1977-004 Divieio~~ vo ~ecl3mation, <br />Mi+~+ng and Safety <br />OPERATION NAME: Pitch Project <br />ANNIVERSARY DATE: April 19, 2009 <br />ANNUAL FEE DUE: $633.00 (Due on or before your anniversary date) <br />COUNTY: Saguache <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee. report, and <br />associated map. If no new disturbances or reclamation have occurred durine the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may Buff ce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Alan D. Cox <br />Permittee Name: Homestake Mining Company <br />Address`: P.O. Box 98 <br />Phone Number: <br />Fax Number: <br />Highway 605 <br />Grants, NM 87020 <br />(505)287-4456 <br />(505) 287-9289 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Signature of Corporate Officer, O er, or Designee <br />~/~~~a ~ <br />Date <br />M:SPERM['IIMASTERDOCUMEKrS/M-AF-02.DOC <br />